NY Imaging Specialists
Director
							Tony Abraham, M.D.
			Expiration Date
							Phone Number
							(833) 269-4624
			UID (Facility ID - Site ID)
							Y590-0000
			Site ID
							0000
			City
							Port Jefferson Sta
			CLIA Number
							33D2176145
			Street Address
							1500 Rte 112 - Bldg 2A
			State
							NY
			Zip Code
							11776
			County
							Suffolk
			Country
							United States
			Fax Number
							(631) 828-2763
			Primary Contact
							Daniela Sanchez
			Contact Phone Number
							(631) 675-3325
			Certificate Type
							WAIVER
			Tests
				Blood Urea Nitrogen (BUN)
							Creatinine
							Glucose
							Pregnancy Test (Urine)
					Facility ID
							Y590
			